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SHAWN CHRISTOPHER WEDLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
Mailing address
8632 SAVANNA OAKS BAY UNIT D, WOODBURY, MN 55125-9551

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2041452
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
5458
MN

Other

Enumeration date
10/30/2017
Last updated
10/30/2017
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